Organization
K&W CARE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK TUCKER (DIRECTOR)
(770) 369-0695
Entity
Organization
Contact information
Practice address
4496 HIGHWAY 5, DOUGLASVILLE, GA 30135-3539
(678) 403-8104
Mailing address
2698 SUMMIT HILLS DR, TUCKER, GA 30084-2947
(770) 369-0695
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/21/2021
Last updated
10/21/2021
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